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Chin Lift Without Implants. Enhancement and Form Correction via Serdev Suture®.

Chin Lift Without Implants. Enhancement and Form Correction via Serdev Suture®.

Disharmony and Proportions

Profile deficiencies are due to congenital, traumatic and ageing factors, with different degree of deformity. Loss of volume or a genetically small mandible affect the aesthetics and expression of the mouth, chin, and neck. Disharmony between the skeletal support and the soft tissue envelope is a common cause of aesthetic concerns.

The chin is an important feature of the face. It is part of the noble profile (which is a straight line), as well as the "beauty triangle" - expressed chin and cheekbones. When smiling the triangle is more visible, and the face looks more beautiful. The chin plays an important role for defining facial aesthetic proportions. The lower part of the face should be divided into 3 parts - one part for the upper lip and two parts for the lower lip and chin (1:2 proportion).

With the help of the suture technique the chin can be positioned on the line of the profile, up or down, left or right, face deformities can be corrected and chin dimple can be created.

Chin Lift Without Implant. Enhancement and Position Correction via Serdev Suture® method.

This is one of the most popular and preferred suture methods, created by Prof. DR. Nikolay Serdev, MD, PhD. 

The aim of Serdev Suture® method for chin lift without impant is to position the chin in the central axis and establish correct proportions. It can be used in aging or sagging chin (the so colled "witch chin"), small chin (micro- and retrogenia), and other deformities. 

For this ambulatory procedure Dr. Serdev uses only two skin punctures in the supra- and sub-mental folds to insert the needle and thread, after which the whole available chin soft tissue is tightened into the roundness of the suture circle. The entire procedure takes a few minutes. No dermal closure and no bandages are used. Facial washing should be done on the following day. The skin puncture in the supra-mental fold may be visible for 2-3 days and patients may use make up. The early post-op period swelling is almost invisible and patients can return to their social life as soon as they wish. 

Chin dimple can also be created with this procedure.

The results are durable and patients prefer it to the alternative method of using foreign bodies (implants), which requires incisions, wearing bandages and involves swellings. For comparison, read about chin implants below.

 

Information about use of chin implants

There are many types of implants made of different material. They can emphasize the jaw line, the checks and create  better proportions between the chin and the checks.

Surgeons use implants to achieve a better balance and create a younger look. Chin augmentation is also called mentoplasty. The operation aims to shape the chin by making it smaller or bigger. A larger chin can be created by an implant insertion or by surgery, which elongates the lower jaw. Smaller chin is made by reducing the size of the lower jaw. In many cases the surgeon will recommend mentoplasty for patients undergoing nose surgery in order to fit the new nose to the face, creating more harmonic appearance. When looked from the side the nose size should fit the chin.

The implant insertion may last from 30 minutes to one hour. The surgeon will design the implant that fits your chin and then insert it into a "pocket" located in front of the chin. A small cut for the insertion can be made inside the mouth near the lower lip or from the outside, just below the chin. After the procedure, the chin is bandaged using plasters to prevent swelling and implant movement. Bandages also help prevent unpleasant sensations. The stitches can be removed after 5-7 days. In case the cut is made inside the mouth, melting stitches are used and there is no need to remove them. The surgery can be done using local anesthetics with sedative drugs and sometimes with general anesthesia.

Every operation has its ricks. The implant may move from its original place. Then you need to undergo additional procedures to replace it. Infection is rare, it can be treated with antibiotics and in some cases the infected implant will be removed and replaced by a new one.

There is a strange feeling around the chin after surgery. It is normal to feel difficulties while talking, smiling and eating. Blue marks around the chin and neck might occur. It is advisable not to participate in activities which may harm the chin. The surgeon will instruct you regarding dental hygiene and eating.

The final results may take weeks and even month to notice, therefore you must be patient.